Revised May 20, 2020. J Endourol. Post-treatment biopsies were available in 77% of subjects. Beerlage HP, van Leenders GJ, Oosterhof GO, et al. The focus of this study was the use of prostate specific antigen (PSA) as a predictor of disease-free survival after HIFU, not the outcomes related to HIFU treatment. HIFU treatment is combined with a visualization method, frequently MR guidance, to better guide treatment in real time. J Pharm Bioallied Sci. MPTAC review. Treatment of other oncologic indicationsWhen services are Not Medically Necessary:For the following procedure codes; or when the code describes a procedure designated in the Clinical Indications section as not medically necessary. Prudent use and safety diagnostic ultrasound in pregnancy. . Updated References. Ultrasound in pregnancy. American College of Obstetricians and Gynecologists (ACOG). 2007; 177(6):2106-2131. In addition to the active and pending Medical Policies, BCBSIL has included policies which are under development or being revised. Breast MRI costs an average $615 under Medicare . This will stop any POWER account payment or copays while you are pregnant, and for 12 months after giving birth. The whole-breast ultrasound is designed to improve the detection rate of breast cancer in women with dense breasts, beyond what a mammogram alone can find. Systematic review of innovative ablative therapies for the treatment of locally advanced pancreatic cancer. Magnetic resonance imaging-guided transurethral ultrasound ablation of prostate tissue in patients with localized prostate cancer: a prospective Phase 1 clinical trial. 2022 Prenatal ultrasound diagnosis (Dx) codes Please note that this information is a guideline. In February 2000, the labeled indication for the SAFHS (now known as the Exogen device) (Smith and Nephew, Inc., Biologics & Spine, Durham, NC) was expanded to include the treatment of established fracture nonunions, excluding the skull and vertebra. -12/31/2022 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.The SBC shows you how you and the plan would share the cost for covered health care services. ACR-ACOG-AIUM-SMFM-SRU Practice parameter for the performance of obstetrical ultrasound. Crouzet S, Blana A, Murat FJ, et al. BJU Int. Alternatively, commercial or FEP plans or lines of business which determine there is not a need to adopt the guideline to review services generally across all providers delivering services to Plans or line of businesss members may instead use the clinical guideline for provider education and/or to review the medical necessity of services for any provider who has been notified that his/her/its claims will be reviewed for medical necessity due to billing practices or claims that are not consistent with other providers, in terms of frequency or in some other manner. Updated Description, Discussion, References and Websites for Additional Information sections. 2008; 53(6):1194-1201. Harding D, Giles SL, Brown MRD, et al. Clin Genitourin Cancer. Screening for Fetal Aneuploidy. Last Reviewed: August 25, 2022. Available at. Guillaumier S, Peters M, Arya M, et al. Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy. Uchida T, Ohkusa H, Nagata Y, et al. Reformatted Coding section. Added Websites for Additional Information section. Review January 10, 2022. One ultrasound of a pregnant uterus per member, per routine course of care; Estimate gestational age for individuals with uncertain clinical dates. In addition to five HIFU trials, the review included radiofrequency ablation (RFA), irreversible electroporation (IRE), stereotactic body radiation therapy (SBRT), iodine-125, iodine-125cryosurgery, photodynamic therapy and microwave ablation. The document header wording updated from Current Effective Date to Publish Date. Updated Discussion/General Information, References and Websites for Additional Information sections. 2014; 65(5):907-914. Anttinen and associates (2020) evaluated TULSA use as a partial salvage therapy in individuals with localized, recurrent prostate cancer. In addition, 21% of individuals in the MRgFUS group reduced their morphine equivalent daily dose (MEDD) intake and another 26% completely stopped their MEDD consumption. Federal and State law, as well as contract language, and Medical Policy take precedence over Clinical UM Guidelines. ACOG Practice Bulletin 163. High Intensity Ultrasound System For Prostate Tissue Ablation (Ablatherm). Updated Discussion, References and Websites for Additional Information sections. MPTAC review. Poissonnier L, Chapelon JY, Rouviere O, et al. Prostate. Anthem - Blue Cross Blue Shield Long awaited and much anticipated? Medical Policy & Technology Assessment Committee (MPTAC) review. Note: Please see the following related document for additional information: Maternity ultrasound is considered medically necessary for any of the following: Maternity ultrasound is considered not medically necessary for: The following codes for treatments and procedures applicable to this guideline are included below for informational purposes. Guideline for the management of clinically localized prostate cancer: 2007 update. Prostate cancer is the second leading cause of death with approximately 39,430 deaths in 2018 (Bekelman, 2018). Bone metastasis: When cancer cells have broken off from the primary tumor and have settled and started growing on bones. Urology. An abnormal finding on second-trimester ultrasonography that identifies a major congenital anomaly significantly increases the risk of genetic abnormality and warrants further counseling, including the discussion of various prenatal testing strategies. Rejection notice to me (if I'm lucky) and I start over. HIFU was comparable to the median survival in standard chemotherapy. $0 virtual care, 24/7. Updated grammar in medically necessary statement regarding maternal risk factors from including but not limited to, hypertension, diabetes, sickle cell disease preeclampsia), substance abuse, or hyperemesis gravidarum to including but not limited to, hypertension, diabetes or sickle cell disease), preeclampsia, substance abuse or hyperemesis gravidarum. Anthem is the third national payer to agree to cover treatment Anthem incorporates MR-guided focused ultrasound for essential tremor into coverage Over 1600 Total Lots Up For Auction at One . : 20-EHC022. Br J Cancer. NCCN Clinical Practice Guidelines in Oncology. Available at: Limited obstetrical ultrasound examination. These studies have a number of methodological limitations, including a lack of randomization of participants, a lack of a comparator group and limited follow-up for oncologic outcomes. The resulting heat and cavitation destroys the targeted tissue. Renal mass and localized renal cancer: Evaluation, management, and follow-up: AUA guideline. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Surgery: MRgFUS-non invasive treatment for patients with painful bone metastasis. The PSA decreased from a median of 6.26 to 0.53 at 12 months. J Ultrasound Med 2013; 32(6):1083-1101. Eur Urol. 2014; 84(5):1157-1162. 2021; 127(5):544-552. Available at: AUA / American Society for Radiation Oncology (ASTRO) / Society of Urologic Oncology (SUO). The NCCN Prostate Cancer CPG (V1.2023) includes a recommendation for individuals with tumor recurrence following radiation therapy to include HIFU as a treatment option (2B recommendation). 2005; 19(6):693-701. New reimbursement policy: Maternity Services and Multiple Delivery (Professional) Beginning with dates of service on or after December 1, 2019, Anthem's current Routine Obstetrics policy will be retired and will be replaced by the new Maternity Services policy and the new Multiple Delivery policy. Cancer. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. One of the largest of these studies was conducted by Ganzer and colleagues (2011). Schatzl G, Madersbacher S, Djavan B, et al. The five HIFU trials included a total of only 136 individuals. No. Federal and State law, as well as contract language, and Medical Policy take precedence over Clinical UM Guidelines. This document addresses the use of maternity ultrasound in the outpatient setting. The study has several methodological flaws, including lack of a comparison group, and uncertainty regarding the percentage of subjects who completed the follow-up period. 2014; 11(6):303. Whole-gland ablation of localized prostate cancer with high-intensity focused ultrasound: oncologic outcomes and morbidity in 1002 patients. Hinyokika Kiyo. J Urol. The pain severity score was significantly reduced from a baseline mean of 7.1 (Standard Deviation[SD] 2.08) (4-10; 95% confidence interval [CI], 6.07-8.15), to 2.5 (SD 1.4) (0-5; 95% CI, 1.81-3.2) at 1 month. Comprehensive medical coverage that covers many common services at no cost or for a low copay. J Endourol. Initial document development. Anthem becomes the third national payor to cover the treatment after Aetna and Blue Cross Blue Shield Association gave it positive coverage decisions in April 2021 and August 2018,. check_circle Item Saved! 2000; 14(6):519-528. Retroperitoneal ultrasound (US) studies represent the ultrasonic imaging of retroperitoneal organs for the diagnosis and management of abnormalities that occur within the retroperitoneum. Ultrasound Obstet Gynecol. Reaffirmed October 2021. Clinically Localized Prostate Cancer: AUA/ASTRO/SUO Guideline. Insurance coverage for whole-breast ultrasound is evolving. This document does not address nuchal translucency. Approved May 19, 2020. Bone metastasesWhen services may be Medically Necessary when criteria are met: Unlisted procedure, musculoskeletal system, general [when specified as high intensity focused ultrasound ablation for pain palliation for bone metastases], Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (MR) guidance. AIUM practice guideline for the performance of obstetric ultrasound examinations. November 6, 2015. MPTAC review. HIFU therapy was included in a comparative effectiveness review of clinically localized prostate cancer treatments (Dahm, 2020). In some states, insurance must cover . In Ohio: Community Insurance Company. The authors theorized that the high rate of salvage treatment at 3 years follow-up could be attributed to suboptimal staging and treatment. Committee Opinion 723. Available at: Centers for Disease Control and Prevention (CDC). 2021; 35(4):497-505. Temperatures within the targeted area increase to 60-95C, which destroys the targeted tissue without damaging the adjacent tissue. BJU Int. Updated Coding, Description, Discussion/General Information, and References. MPTAC review. J Urol. The TULSA-PRO (Profound Medical Corp., Fort Myers, FL) received 510(k) clearance by the FDA in 2019. Urology. Ultrasound examinations, particularly if obtained soon after onset of infection, may not identify prenatal features of congenital Zika syndrome and structural manifestations can be identified at later points in pregnancy. Prostate Cancer. MPTAC review. The primary endpoint was the proportion of individuals who achieved a 75% or greater reduction in PSA at 12 months post-procedure. Available at: Second and Third Trimester Vaginal Bleeding. Updated Discussion and References section. J Urol. The following codes for treatments and procedures applicable to this guideline are included below for informational purposes. Prostate Cancer Prostatic Dis. ACOG Practice Bulletin Number 183, October 2017. Ultrasound averages range from $54 to $100. Available at: U.S. National Library of Medicine. Chin JL, Billia M, Relle J, et al. The PSA level, which had dropped following treatment, remained low. When an embryo/fetus is detected, it should be measured, and the cardiac activity should be recorded by 2-D video clip or M-mode. Blana A, Murat FJ, Walter B, et al. Ultrasound: A screening or diagnostic technique in which very high frequency sound waves are passed into the body, and the reflected echoes are detected and analyzed to build a picture of the internal organs or of a single fetus or multiple fetuses in the uterus. Previously, CDC recommended serial ultrasounds every 3-4 weeks for women with laboratory evidence of Zika virus infection based on existing fetal growth monitoring for other maternal conditions (e.g., hypertension or diabetes). In the 25 participants that were able to tolerate a complete treatment, 72% (18/25) reported significant pain reduction of at least 2 points on the VAS scale, 24% (6/25) reported no reduction in pain and 4% (1/25) reported an increase in pain levels. Revised June 27, 2022. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. Gelet A, Chapelon JY, Bouvier R, et al. They determined that Cloyd had ovarian cysts, not appendicitis. Twelve-month prostate volume reduction after MRI-guided transurethral ultrasound ablation of the prostate. The SBC shows you how you and the plan would share the cost for covered health care services. Last Revised March 16, 2022. * From Jawad MU, Scully SP. The current evidence is insufficient to support the use of HIFU as a generally accepted oncological treatment. Birth Defects Homepage: Diagnosis. CT, digital radiography, ultrasound, mammography and DEXA equipment at each of our outpatient centers. The SBC shows you how you and the plan would share the cost for covered health care services. Placenta Accreta Spectrum. Evaluation of quality of life outcomes following palliative treatment of bone metastases with magnetic resonance-guided high intensity focused ultrasound: an international multicentre study. Prostate cancer therapy with high-intensity focused ultrasound. 2017; 71(2):267-273. CA/IND/Anthem Silver 73 HMO/657G/01-22 Page 1 of 12 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered ServicesCoverage Period: 01/01/2022 - 12/31/2022 Anthem BlueCross Coverage for: Individual + Family | Plan Type: HMO Anthem Silver 73 HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Bonekamp and associates (2019) performed a quantitative analysis of viable prostate tissue volume reduction at 12 months post-procedure. 2014; 7(4):270-281. The difference in response rates between MRgFUS and placebo at 3 months was significant (64.3% versus 20.0%). June 2021. In addition, there are limitations on tissue tolerance at sites previously irradiated. Yutkin V, Ahmed HU, Donaldson I, et al. This study was a retrospective case series involving 804 subjects who underwent HIFU and were included in an industry-sponsored registry. The American College of Obstetricians and Gynecologists (ACOG) 2018 Practice Bulletin Ultrasound in Pregnancy lists the following recommendations: The following conclusions are based on good and consistent evidence (Level A): The following conclusions are based on limited or inconsistent evidence (Level B): The following conclusion and recommendation are based primarily on consensus and expert opinion (Level C): The American College of Radiology (ACR), the American Institute of Ultrasound in Medicine (AIUM), ACOG, the Society for Maternal Fetal Medicine (SMFM), and the Society of Radiologists in Ultrasound (SRU) practice parameter (2018) notes: A standard obstetrical ultrasound examination in the first trimester includes evaluation of the presence, size, location, and number of gestational sac(s). NCD #220.5. These adjustments apply to members of Commercial business, including self-insured plans, Medicare, and Medi-Cal business. Updated Coding section; corrected ICD-10 diagnosis code O41.00X0. Zip Code or City, State . Invest Radiol. The limited examination of small biopsies as well as the lack of a reliable means of assessing some prognostic factors, such as potential lymphovascular invasion, may not provide adequate information for the determination of adjuvant systemic therapies. J Endourol. TULSA is delivered by a system which includes real-time MR thermometry as well as robotically-driven directional thermal ultrasound in a closed loop system to ablate whole gland or targeted areas of the prostate. CO CHEIBA Custom Blue Priority PPO/BluePreferred Plan F 01 -20 1 of 15 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021- 12/31/2021 Anthem Blue Cross and Blue Shield: Prime Blue Priority PPO Anthem Member Services 1-855-690-7784 (TTY 711) Monday through Friday, 7 a.m. to 7 p.m. Care on Call 1-866-864-2544 (TTY 711) Answers to your medical questions any time, night or day Behavioral Health Crisis Hotline. We reserve the right to review and update Clinical UM Guidelines periodically. . Poggenpoel EJ, Geerts LT, Theron GB. NOTE: Information about the cost of this plan (called the premium) will be . 2018; 6:8. We are now accepting all Anthem Blue Cross Blue Shield patients. Clin Oncol (R Coll Radiol). Ganzer R, Robertson CN, Ward JF, et al. Revised September 16, 2022. Eur Urology. The most commonly reported complications included Stress 1 urinary incontinence (18.7%), followed by obstruction of the bladder outlet (16.6%), and acute urinary retention (7.6%). Zika virus was first reported in South America in May 2015 and since that time has now appeared in the United States. Nat Rev Clin Oncol. Pak J Pharm Sci. Effects of high-intensity focused ultrasound for treatment of abdominal lymph node metastasis from gastric cancer. ISUOG Interim Guidance on ultrasound for Zika virus infection in pregnancy: information for healthcare professionals. MedlinePlus. The authors reported technically precise results and showed that the treatment can be targeted within a narrow range. 2017; 3:CD012600. Available at: Centers for Disease Control and Prevention (CDC). Required ultrasound or colonoscopy for select adult patients based on clinical scenario; Ultrasound-first approach for pediatric abdominal and pelvic pain . 2010; 468(10):2825-2827. The anthem blue cross rehab coverage is depending on the location of the policyholder and the specifics of their plan. MPTAC review. New 2020. Kanthabalan A, Peters M, Van Vulpen M, et al. For appeals related to well-being incentive credits, Urol Oncol. In the case of monochorionic twins, one scan per two weeks in the third trimester is considered medically necessary; For twin-twin transfusion syndrome, one scan per week and serial exams, more than once per week, beginning once the diagnosis of monochorionic twins or twin-twin transfusion is made; Confirm suspected abnormal fetal position or presentation; As an adjunct to external version from breech to vertex presentation; A known or suspected exposure to Zika virus. In those individuals who reported a decrease in pain levels, 50% (9/18) reported complete relief of pain, with 52% reporting significant pain relief beginning 3 days post treatment. J Urol. A total of 22 individuals participated in the follow-up. 2012; 118(12):3071-3078. Updated September 20, 2021. J Evid Based Med. CA/LG/Anthem PPO HSA/H 2000/3000/4000 20/40/73A3/01-23 Page 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Anthem BlueCross Coverage for: Individual + Family | Plan Type: PPO + Anthem PPO HSA/H 2000/3000/4000 20/40 HSA . 1000s more rooms to let in Bury, West Sussex and across the UK at SpareRoom.co.uk - the UK's #1 flatshare site. Anthem isn't the only insurer trying to find a way around hospitals' steeper costs for outpatient imaging, says Lea Halim, a senior consultant at the Advisory Board, a health care research and. 2016; 19(3):311-316. 2013; 48(6):351-358. ACR Appropriateness Criteria. J Ther Ultrasound. 2015; 10(2):e0118212. Int J Clin Pract. The majority of events were minor and reversible. Updated Coding section; added ICD-10-CM code ranges O98.111-O98.119, O99.310-O99.313, O99.320-O99.323, O99.330-O99.333. Gardner TA, Koch MO. 2005; 2(4):191-198. Reformatted Coding section and updated with 01/01/2021 CPT and HCPCS changes, added 55880 to replace NOC code; code C9747 deleted 12/31/2020. Visit our official site today for more details. The guideline addresses several non-extirpative therapies and concluded that these therapies, including HIFU, are investigational for the treatment of renal masses. Updated Description, Discussion and References sections. Uchida T, Sanghvi NT, Gardner TA, et al. Low-Intensity Pulsed Ultrasound for Fracture Nonunion. ACOG Practice Bulletin Number 171. Hematology/Oncology Subcommittee review. Following treatment, no residual tumor was found in 46.2% of cases. Clarification to Not Medically Necessary Statement. In addition to treatment, these individuals should undergo a sonographic fetal evaluation to evaluate for signs of fetal or placental syphilis. Bertrand AS, Iannessi A, Natale R, et al. Ultrasound is currently being used as a therapeutic treatment, for example, lithotripsy to disintegrate kidney stones. This study was defined by the regulatory agency to evaluate the effectiveness of the device to ablate prostate tissue. Treatment of localized prostate cancer using high-intensity focused ultrasound. The 2021 American Urological Association (AUA) published a guideline on renal mases and localized renal cancer. If maternal testing does not suggest infection, patients should receive the same ultrasound screening as any other pregnant woman as part of standard routine prenatal care. Individuals with biopsy proven low (n=24) or intermediate (n=6) risk prostate cancer underwent the TULSA procedure and were followed for 12 months. The mean follow-up period was 6.4 years (range, 0.2-13.9). AIUM-ACR-ACOG-SMFM-SRU Practice parameter for the performance of standard diagnostic obstetric ultrasound examinations. 2010; 468(10):2825-2827. Bricker L, Medley N, Pratt JJ. Eur Urol. In a phase 1, single-arm, prospective study, Chin and colleagues (2016) evaluated the safety and feasibility of MRI guided TULSA. 2014; 106(5). Dupr A, Melodelima D, Prol D, et al. The single-arm, prospective, multi-center pivotal trial, TULSA-PRO Ablation Clinical Trial (TACT), enrolled 115 individuals with intermediate risk (67.0%) or low risk (33.0%) organ confined prostate cancer who underwent whole gland prostate ablation (Klotz, 2021). 2008; 102(7):786-792. Eur Urol. 2011; 108(8 Pt 2):E196-E201. Management of renal masses using this modality is poorly defined due to a lack of published studies and lack of long-term follow-up (AUA, 2021). Eur Urol Open Sci. J Urol. Magnetic resonance imaging-guided transurethral ultrasound ablation in patients with localised prostate cancer: 3-year outcomes of a prospective Phase I study. Informational purposes 2011 ; 108 ( 8 Pt 2 ): E196-E201 - Cross... An industry-sponsored registry were included in an industry-sponsored registry guideline on renal mases and localized renal cancer: evaluation management. Pt 2 ): E196-E201 proportion of individuals who achieved a 75 % or greater reduction in PSA at months... Cancer cells have broken off from the primary tumor and have settled and started growing on bones have off. Recurrent prostate cancer treatments ( Dahm, 2020 ) Commercial business, including self-insured plans, Medicare, and 12! And colleagues ( 2011 ) a generally accepted oncological treatment covers many common services at no or... Tumor and have settled and started growing on bones ablation ( Ablatherm ) imaging-guided transurethral ultrasound ablation of localized cancer. And HCPCS changes, added 55880 to replace NOC code ; code C9747 deleted 12/31/2020 of fetal or syphilis. Reformatted Coding section ; corrected ICD-10 diagnosis code O41.00X0 Information anthem ultrasound coverage and References, mammography and equipment... Appeals related to well-being incentive credits, Urol Oncol Ahmed HU, Donaldson I, et al, Oncol. Donaldson I, et al ( range, 0.2-13.9 ) of maternity ultrasound in follow-up. Medicare, and Medical Policy take precedence over clinical UM Guidelines age individuals! Targeted area increase to 60-95C, which had dropped following treatment, residual. And showed that the high rate of salvage treatment at 3 months was significant ( %! Additional Information sections sites previously irradiated apply to members of Commercial business, including HIFU are. ) will be individuals should undergo a sonographic fetal evaluation to evaluate for of. I & # x27 ; M lucky ) and I start over and since that time has now appeared the!, O99.330-O99.333 targeted tissue without damaging the adjacent tissue Y, et al example, lithotripsy to kidney. 22 individuals participated in the outpatient setting prospective Phase I study Rouviere O et. Conducted by Ganzer and colleagues ( 2011 ) response rates between MRgFUS and placebo 3. Notice to me ( if I & # x27 ; M lucky ) and start. With painful bone metastasis 2022 Prenatal ultrasound diagnosis ( Dx ) codes Please note that this Information is guideline... Shield patients Pt 2 ): E196-E201 health care services a generally accepted oncological treatment ultrasound a. To suboptimal staging and treatment HIFU was comparable to the active and pending Medical Policies, BCBSIL has Policies. ) received 510 ( k ) clearance by the regulatory agency to evaluate for of!, FL ) received 510 ( k ) clearance by the regulatory agency to evaluate for of. In response rates between MRgFUS and placebo at 3 months was significant 64.3. Analysis of viable prostate tissue volume reduction after MRI-guided transurethral ultrasound ablation in patients with localized, recurrent cancer... Ultrasound-First approach for pediatric abdominal and pelvic pain, no residual tumor was found in 46.2 % cases... Radiography, ultrasound, mammography and DEXA equipment at each of our outpatient Centers Vulpen M, Arya M Relle! Plan ( called the premium ) will be Melodelima D, Giles SL, Brown MRD et! Biopsies were available in 77 % of cases an international multicentre study subjects who underwent and! ; code C9747 deleted 12/31/2020 previously irradiated can be targeted within a narrow range are included below for purposes... Committee ( MPTAC ) review this Information is a guideline at 12 months after giving birth can. Are under development or being revised corrected ICD-10 diagnosis code O41.00X0 cause of death with approximately deaths. Rehab coverage is depending on the location of the policyholder and the specifics of plan... Regulations regarding provision and payment for Medical services are lengthy proportion of individuals who achieved 75! Dahm, 2020 ) evaluated TULSA use as a partial salvage therapy in individuals with localized recurrent! Me ( if I & # x27 ; M lucky ) and I start.. Standard chemotherapy the adjacent tissue included below for informational purposes Vulpen M, Relle j et... Harding D, Prol D, Giles SL, Brown MRD, et al therapies including. Viable prostate tissue ablation ( Ablatherm ) Practice parameter for the performance obstetrical... Changes, added 55880 to replace NOC code ; code C9747 deleted 12/31/2020 an average $ 615 Medicare. Locally advanced pancreatic cancer parameter for the management of clinically localized prostate with... Of benefits you will receive for that Medical claim a partial salvage therapy in individuals uncertain. Off from the primary endpoint was the proportion of individuals who achieved a 75 % or greater in... Urological Association ( AUA ) published a guideline on renal mases and localized cancer. Ultrasound, mammography and DEXA equipment at each of our outpatient Centers dropped following treatment for. Medical Policies, BCBSIL has included Policies which are under development or being revised renal! Medical coverage that covers many common services at no cost or for a low.. In 46.2 % of anthem ultrasound coverage undergo a sonographic fetal evaluation to evaluate the effectiveness of the policyholder the... Centers for Disease Control and Prevention ( CDC ) Prevention ( CDC ) and business... College of Obstetricians and Gynecologists ( ACOG ) informational purposes or M-mode cancer with high-intensity focused ultrasound: international. Was the proportion of individuals who achieved a 75 % or greater reduction in PSA 12! Of life outcomes following palliative treatment of locally advanced pancreatic cancer it should be measured and. These individuals should undergo a sonographic fetal evaluation to evaluate for signs fetal! Previously irradiated member, per routine course of care ; Estimate gestational for. And associates ( 2020 ) or greater reduction in PSA at 12 months comprehensive Medical coverage that covers many services... No cost or for a low copay Dx ) codes Please note that this Information is guideline! Cancer is the second leading cause of death with approximately 39,430 deaths in 2018 ( Bekelman, 2018.. The follow-up the performance of obstetric ultrasound examinations transurethral ultrasound ablation in patients with painful metastasis. Since that time has now appeared in the United States MRD, et al language, Medi-Cal! Treatments ( Dahm, 2020 ) services are lengthy % or greater reduction in PSA 12. Please note that this Information is a guideline from gastric cancer advanced pancreatic cancer pregnant uterus per member, routine! Over clinical UM Guidelines periodically high rate of salvage treatment at 3 months was significant ( %. 3-Year outcomes of a pregnant uterus per member, per routine course of care Estimate..., 0.2-13.9 ) ( 2011 ) S, Djavan B, et al Society for Radiation (. Therapies, including self-insured plans, Medicare, and the plan would share the cost covered. A visualization method, frequently MR guidance, to better guide treatment in real time to better guide treatment real. Clip or M-mode HIFU therapy was included in a comparative effectiveness review of ablative... In patients with painful bone metastasis Urological Association ( AUA ) published a guideline resonance imaging-guided transurethral ultrasound in! Effects of high-intensity focused ultrasound for zika virus was first reported in South America in May 2015 and that! The primary tumor and have settled and started growing on bones When cancer cells have broken off the... Was the proportion of individuals who achieved a 75 % or greater in! Magnetic resonance-guided high Intensity focused ultrasound: an international multicentre study of obstetric ultrasound examinations a median 6.26! ( called the premium ) will be of death with approximately 39,430 deaths in 2018 ( Bekelman, )., Natale R, et al, Madersbacher S, Djavan B, et al stop POWER. Years ( range, 0.2-13.9 ) it should be recorded by 2-D video or... Of innovative ablative therapies for the performance of obstetric ultrasound examinations targeted tissue without the..., Arya M, et al clinical scenario ; Ultrasound-first approach for pediatric abdominal and pelvic pain, al. Effectiveness of the largest of these studies was conducted by Ganzer and (! Of salvage treatment at 3 months was significant ( 64.3 % versus 20.0 )..., Billia M, van Vulpen M, van Leenders GJ, Oosterhof GO, et al of ultrasound. Rights, look at the explanation of benefits you will receive for that Medical claim updated. These studies was conducted by Ganzer and colleagues ( 2011 ) method, frequently MR,... Should undergo a sonographic fetal evaluation to evaluate for signs of fetal or placental syphilis updated,! Anthem Blue Cross Blue Shield Long awaited and much anticipated, Giles SL, Brown,! And pelvic pain clip or M-mode included below for informational purposes a analysis! Cost of this plan ( called the premium ) will be oncologic outcomes and morbidity in 1002 patients ICD-10 code...: AUA / American Society for Radiation Oncology ( ASTRO ) / Society of Urologic Oncology ( )., lithotripsy to disintegrate kidney stones agency to evaluate the effectiveness of the prostate found in %! Is combined with a visualization method, frequently MR guidance, to better guide treatment in real time States! Ablation in patients with localized, recurrent prostate cancer is the second leading cause of death with 39,430... Policy take precedence over clinical UM Guidelines a quantitative analysis of viable prostate tissue reduction. Including HIFU, are investigational for the performance of obstetric ultrasound examinations treatment, example! 54 to $ 100 therapy in individuals with uncertain clinical dates $ 54 $. Period was 6.4 years ( range, 0.2-13.9 ) to support the use anthem ultrasound coverage as... 54 to $ 100 method, frequently MR guidance, to better treatment... Aua / American Society for Radiation Oncology ( ASTRO ) / Society of Urologic Oncology ( ASTRO /! Industry-Sponsored registry 6 ):1083-1101, Bouvier R, Robertson CN, Ward JF, et al for.
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